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CC BY-NC-ND 4.0 · Eur J Dent 2012; 06(04): 389-395
DOI: 10.1055/s-0039-1698977
Original Article
Dental Investigation Society

Effect of resealing on microleakage of resin composite restorations in relationship to margin design and composite type

Sibel A Antonson
1   University at Buffalo State University of New York School
,
A. Ruya Yazici
2   Hacettepe University
,
Zeynep Okte
3   Ankara University
,
Patricia Villalta
4   Nova Southeastern University
,
Donald E Antonson
1   University at Buffalo State University of New York School
,
Patrick C Hardigan
5   Nova Southeastern University
› Author Affiliations
Further Information

Publication History

Publication Date:
30 September 2019 (online)

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ABSTRACT

Objective: To determine the relationship between margin preparation design and resin-composite type on microleakage with or without re-application of surface-penetrating sealant.

Methods: Class-I resin-composite restorations were completed for 128 extracted human molars. Half of the margins were beveled, the other half, butt-joint. Half of each group was restored with Filtek-Supreme (FS), the other half with Esthet-X (EX) using their respective adhesive systems. Margins were etched and sealed with a surface-penetrating sealant, Fortify. The samples were stored in water 24h, and thermocycled (5,000 cycles, 5°C-55°C). Then, samples were abraded using a toothbrush machine (6,000 strokes). Half of the restorations from each sealant group (n=16) were resealed, and the other half had no further treatment. Thermocycling and tooth brushing were repeated. The samples were sealed with nail polish, immersed in methylene-blue for 8h, sectioned, and magnified digital photographs were taken. Three examiners assessed dye penetration. A 2x2x2 multi-layered Chi-Square analysis, using Cochran-Mantel-Haenszel test was conducted for statistical analysis.

Results: No difference was observed between sealed and resealed FS and EX restorations with butt-joint margins. In beveled margins, resealing caused significantly less microleakage (P<.01). No differences were found between restorations either sealed or resealed with bevel margins. In butt-joint margins, at the leakage level deeper than 2/3 of the preparation depth, resealed FS showed less microleakage than EX resealed restorations (P<.01).

Conclusion: Resealing reduced microleakage in bevel margins, however, in butt-joint margins resealing did not affect the leakage. A significant statistical relationship exists between and within resealing, margin preparation design, type of composite, and microleakage. (Eur J Dent 2012;6:389-395)

Key words

Resin-composite margin design - bevel - butt-joint - surface penetrating sealant - microleakage
 

  • References

  • 1 St Georges AJ, Wilder AD Jr, Perdigão J, Swift EJ Jr. Microleakage of Class V composites using different placement and curing techniques: an in vitro study. Am J Dent 2002;15:244-247.
  • 2 Van Meerbeek B, Perdigão J, Lambrechts P, Vanherle G. The clinical performance of adhesives. J Dent 1998;26:1-20.
  • 3 Peutzfeldt A, Asmussen E. Determinants of in vitro gap formation of resin composites. J Dent 2004;32:109-115.
  • 4 Roberson TM, Heymann HO, Ritter AV. Introduction to composite restorations. In: Roberson TM, Heymann HO, Swift J E (eds). Sturdevant’s Art and Science of Operative Dentistry. St. Louis: Mosby, 2002:489-490.
  • 5 Eriksen HM, Buonocore MG. Marginal leakage with different composite restorative materials in vitro. Effect of cavity design. J Oral Rehabil 1976;3:315-322.
  • 6 Welk DA, Laswell HR. Rationale for designing cavity preparations in light of current knowledge and technology. Dent Clin North Am 1976;20:231.
  • 7 Oilo G, Jorgensen KD. Effect of bevelling on the occurrence of fractures in the enamel surrounding composite resin fillings. J Oral Rehabil 1977;4:305-309.
  • 8 Eliasson ST, Hill GL. Cavosurface design and marginal leakage of composite resin restorations. Oper Dent 1977;2:55-58.
  • 9 Retief DH, Woods E, Jamison HC. Effect of cavosurface treatment on marginal leakage in Class V composite resin restorations. J Prosthet Dent 1982;47:496-501.
  • 10 Bayne SC, Thompson JY, Taylor DF. Dental Materials. In: Roberson TM, Heymann HO, Swift J EJ (eds). Sturdevant’s Art and Science of Operative Dentistry. St. Louis: Mosby, 2002:207.
  • 11 dos Santos PH, Pavan S, Assunção WG, Consani S, Correr-Sobrinho L, Sinhoreti MA. Influence of surface sealants on microleakage of composite resin restorations. J Dent Child 2008;75:24-28.
  • 12 Ramos RP, Chimello DT, Chinelatti MA, Palma Dibb RG, Mondelli J. Effect of three surface sealants on marginal sealing of class V composite resin restorations. Oper Dent 2000;25:448-453.
  • 13 Ramos RP, Chinelatti MA, Chimello DT, Dibb RG. Assessing microleakage in resin composite restorations rebonded with a surface sealant and three low-viscosity resin systems. Quintessence Int 2002;33:450-456.
  • 14 Reid JS, Saunders WP, Chen YY. The effect of bonding agent and fissure sealant on microleakage of composite resin restorations. Quintessence Int 1991;22:295-298
  • 15 Silva Santana SV, Bombana AC, Flório FM, Basting RT. Effect of surface sealants on marginal microleakage in Class V resin composite restorations J Esthet Rest Dent 2009;21:397-404.
  • 16 Mitra SB, Wu D, Holmes BN. An application of nanotechnology in advanced dental materials. J Am Dent Assoc 2003;134:1382-1390.
  • 17 Senawongse P, Pongprueksa P. Surface roughness of nanofill and nanohybrid resin composites after polishing and brushing. J Esthet Rest Dent 2007;19:265-273.
  • 18 Topcu F, Sahinkesen G, Yamanel K, Erdemir U, Oktay EA, Ersahan S. Influence of different drinks on colour stability of dental resin composites. Eur J Dent 2009;3:50-56.
  • 19 Schmidlin PR, Wolleb K, Imfeld T, Gygax M, Lussi A. Influence of beveling and ultrasound application on marginal adaptation of box-only Class II (slot) resin composite restorations. Oper Dent 2007;32:291-297.
  • 20 Swanson TK, Feigal RJ, Tantbirojn D, Hodges JS. Effect of adhesive systems and bevel on enamel margin integrity in primary and permanent teeth. Pediatr Dent 2008;30:134-140.
  • 21 Hall LH, Cochran MA, Swartz ML. Class 5 composite resin restorations: margin configurations and the distance from the CEJ. Oper Dent 1993;18:246-250.
  • 22 Crawford PJM, Whittaker DK, Owen GM. The influence of enamel prism orientation on leakage of resin bonded restorations. J Oral Rehabil 1987;14:283-289.
  • 23 Munechika T, Suzuki K, Nishiyama M, Ohashi M, Horie K. A comparison of the tensile bond strengths of composite resin to longitudinal and transverse sections of enamel prisms in human teeth. J Dent Res 1984;63:1079-1082.
  • 24 Han L, Okamoto A, Iwaku M. The effects of various clinical factors on marginal enamel micro-cracks produced around composite restoration. Dent Mater J 1992;11:26-37.
  • 25 Bagheri M, Ghavamnasiri M. Effect of cavosurface margin configuration of Class V cavity preparations on microleakage of composite resin restorations. J Comtemp Dent Prac 2008;9:122-129.
  • 26 Santini A, Ivanovic V, Ibbetson R, Milia E. Influence of marginal bevels on microleakage around Class V cavities bonded with seven self-etching agents. Am J Dent 2004;17:257-261.
  • 27 Ameri H, Ghavamnasiri M, Abdoli E. Effects of load cycling on the microleakage of beveled and nonbeveled occlusal margins in class V resin-based composite restorations. J Contemp Dent Pract 2010;11:25-32.
  • 28 Baratieri LN, Canabarro S, Lopes GC, Ritter AV. Effect of resin viscosity and enamel beveling on the clinical performance of Class V composite restorations: three-year results. Oper Dent 2003;28:482-487.
  • 29 Coelho-de-Souza FH, Klein-Júnior CA, Camargo JC, Beskow T, Balestrin MD, Demarco FF. Double-blind randomized clinical trial of posterior composite restorations with or without bevel: 6-month follow-up. J Contemp Dent Pract 2010;11:1-8.
  • 30 Perdigão J, Anauate-Netto C, Carmo AR, Lewgoy HR, Cordeiro HJ, Dutra-Corrêa M, Castilhos N, Amore R. Influence of acid etching and enamel beveling on the 6-month clinical performance of a self-etch dentin adhesive. Compend Contin Educ Dent 2004;25:33-34.
  • 31 Heintze SD, Ruffieux C, Rousson V. Clinical performance of cervical restorations--a meta-analysis. Dent Mater 2010;26:993-1000.
  • 32 Wilson NHF, Wilson MA, Wastell DG, Smith GA. Performance of Occlusion in butt-joint and beveled-edged preparations: Five-year results. Dent Mater 1991;7:92-98
  • 33 Isenberg BP, Leinfelder KF. Efficacy of beveling posterior composite resin preparations. J Esthet Dent 1990;2:70-73.
  • 34 Dickinson GL, Leinfelder KF. Assessing the long-term effect of a surface penetrating sealant. J Am Dent Assoc 1993;124:68-72.
  • 35 Dickinson GL, Leinfelder KF, Mazer RB, Russell CM Effect of surface penetrating sealant on wear rate of posterior composite resins. J Am Dent Assoc 1990;121:251-255.
  • 36 Hardan LS, Amm EW, Ghayad A, Ghosn C, Khraisat A. Effect of different modes of light curing and resin composites on microleakage of Class II restorations--Part II. Odontostomatol Trop 2009;32:29-37.
  • 37 Sadeghi M. Influence of flowable materials on microleakage of nanofilled and hybrid Class II composite restorations with LED and QTH LCUs. Ind J Dent Res 2009;20:159-163.
  • 38 Yamazaki PC, Bedran-Russo AK, Pereira PN, Swift EJ Jr. Microleakage evaluation of a new low-shrinkage composite restorative material. Oper Dent 2006;31:670-676.